CRCR Point-of-Service Collections 4

Question 1

Under the Affordable Care Act, non-profit hospitals must have a financial assistance policy (FAP) that includes all of the following EXCEPT:

Accepted Answer

A requirement that patients purchase supplemental insurance

Answer

ACA Section 501(r) requires non-profit hospitals to have a FAP covering eligibility criteria, calculation basis, and covered providers, but does NOT require patients to purchase any insurance.

Question 2

A patient's coinsurance is 20% after a $1,000 in-network deductible, which has been fully met. The allowed amount for today's procedure is $800. What is the patient's POS responsibility?

Accepted Answer

$160

Answer

Since the deductible is fully met, only the coinsurance applies: 20% of $800 = $160.

Question 3

Which of the following self-pay discount strategies is considered a best practice and least likely to create compliance risk?

Accepted Answer

Offering a prompt-pay discount tied to payment at time of service, consistently applied to all self-pay patients

Answer

A consistently applied prompt-pay discount for self-pay patients is transparent, non-discriminatory, and defensible as a legitimate business practice that encourages POS payment.

Question 4

Which payment technology trend has most directly increased patient willingness to pay balances at point-of-service?

Accepted Answer

Mobile and contactless payment options integrated into the check-in workflow

Answer

Integrating mobile and contactless payment options into the check-in process reduces friction and aligns with consumer payment preferences, increasing POS collection rates.

Question 5

A patient has a health savings account (HSA). How should staff handle a copay collection when the patient presents an HSA debit card?

Accepted Answer

Process it like any other debit card transaction

Answer

HSA debit cards function like standard debit cards for eligible medical expenses and should be accepted and processed as any other card payment.

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR - Certified Revenue Cycle Representative Program Practice Test

CRCR Point-of-Service Collections 4